Posterior compartment disorders and management of acute anal sphincter trauma

Abstract

Trauma sustained during childbirth is not always recognized, and damage to tissues and nerves may lead to long-term sequelae that can have a huge impact on the physical, social, and psychological well-being of women. However, even when trauma is recognized and repaired, the outcome may be suboptimal. Focused training in identification and appropriate repair is therefore mandatory. The two most important principles in primary repair of acute anal sphincter injuries are repair of the internal sphincter and restoration of the anal canal length. Subsequent vaginal delivery is not associated with adverse outcome in the majority of women. © 2010 Springer-Verlag Milan.